Healthcare Provider Details

I. General information

NPI: 1265122246
Provider Name (Legal Business Name): JENNIFER HALLIT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 34TH ST
BAKERSFIELD CA
93301-2107
US

IV. Provider business mailing address

1215 34TH ST
BAKERSFIELD CA
93301-2107
US

V. Phone/Fax

Practice location:
  • Phone: 661-663-4700
  • Fax: 661-489-3338
Mailing address:
  • Phone: 661-663-4700
  • Fax: 661-489-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA204262
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: